Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to protect the private health care information for 3 of 25 Residents, Residents #19, #21, and #17. The findings included. 1. For Resident #19, the facility staff failed to secure the Residents medical record. The electronic health record was left open and in the hallway unattended exposing the Residents private health information. The record review revealed that Resident #19 had been admitted to the facility 10/11/2017. [DIAGNOSES REDACTED]. …
F164 citations in Virginia
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F164 citations were recorded in Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Virginia surveyors wrote
F164 findings written in Virginia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, staff interview, facility documentation review, and in the course of a complaint investigation, the facility staff failed to ensure Health Information Privacy for 34 Residents. The Findings Included: On 6/14/15 at approximately 9:25 a.m., an observation was made of a Team assignment sheet lying upright on top of a medication cart allowing anyone that may pass to see Health Care Information of Residents of 1 of 4 Operating Units. A copy of the Team assignment sheet was obtained from the Botetourt Unit on 6/15/17 at approximately 2:45 p.m. from the Unit Manager. …
What else Virginia surveyors cite →
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